| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,032.89 | $8,604.00 | $18,600.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $1,897.00 | $2,577.96 | $5,851.00 | |
United
| Facility | $2,269.00 | $6,170.00 | $12,989.00 |